Journal of evaluation in clinical practice最新文献

{"title":"Evaluation of a Fresh Fruits and Vegetables Prescription Program in Rural America","authors":"Sean H. Merritt","doi":"10.1111/jep.70259","DOIUrl":"https://doi.org/10.1111/jep.70259","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Voucher-based food as medicine programs have become a common method to help reduce the burden of chronic disease. While recent studies find these programs reduce HbA1c, few of these studies included a comparison group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This article evaluates the impact of a clinically based voucher program on HbA1c of diabetic patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study takes advantage of a natural experiment to create a robust control group. Individuals with diabetes or prediabetes were screened for food insecurity to enroll in the program. If a person enrolled, they would receive a voucher for fruits and vegetables at select stores for 6 months (<i>N</i> = 389). During a period of transition between voucher delivery methods, participants were put on a waiting list rather than enrolling. These individuals were identified as part of the control group (<i>N</i> = 36). Electronic medical record data was used to link individuals pre- and post-HbA1c. Inverse propensity score weighting (IPW) and nearest neighbor (NN) matching were used to determine treatment effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After removing patients who did not have post-A1c measurements, there were 140 people included (treated = 120; control = 20). There was not found to be a statistically significant impact of voucher programs on HbA1c using IPW (<i>b</i> = 0.16, <i>p</i> = 0.659) or NN (<i>b</i> = 0.35, <i>p</i> = 0.071). Power analysis finds that this analysis was likely underpowered given the small effect size.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These results suggest that voucher programs may not be as effective at reducing HbA1c of diabetes patients as previously thought. However, there may be additional barriers that these kinds of programs may not be addressing. The author makes recommendations for how to rethink the focus of diabetes interventions for those with food insecurity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing Quality of Morning Report: Bridging the Gap Between Standards and the Current Situation","authors":"Afsaneh Yakhforoshha,&nbsp;Fatemeh Samiee,&nbsp;Milad nasiri Savadkoohi","doi":"10.1111/jep.70258","DOIUrl":"https://doi.org/10.1111/jep.70258","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim and Objective</h3>\u0000 \u0000 <p>The Morning Report (MR) has been considered an essential phase of clinical educational. Yet evidence points to the MR format varying in terms of content, presentation, goals, and organization in different academic departments. Therefore, we hypothesized that a standard-based tool for assessing MR followed by interactive meetings and workshops as empowerment programs results in bridging the gap between standards and the current state.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This quasi-experimental study was conducted during three stages in eight departments of academic hospitals of the Qazvin University of Medical Sciences (QUMS) in Iran. In the first stage, a possible gap of running MR were identified during an on-site assessment using a developed tool based on national standards. The tool focused on three areas running MR preparation, scheduling, and implementation. In the second stage, involved clinical educators were empowered to use the correct way of holding MR sessions. Finally, a reassessment was conducted 6 weeks afterward using the same tool, and the extent of changes in complying with the educational standards was measured. The data was analyzed using SPSS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After the intervention, a significant change was observed in the preparation and implementation dimension of MR in different departments (<i>p</i> &lt; 0.05). However, there was no statistically significant difference in the dimension of scheduling of quality of MR after intervention (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Conducting an initial assessment during actual workplace practices using a standard-based tool following interventions can promote translating new knowledge into real practice, bridge the educational gap, and achieve the desired practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential for Editorial Committee Use of Large Language Models in Peer Review","authors":"Richard C. Armitage","doi":"10.1111/jep.70260","DOIUrl":"https://doi.org/10.1111/jep.70260","url":null,"abstract":"","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Processes for Developing Plain Language Versions of Guidelines Recommendations: A Scoping Review","authors":"Alena Langaufova,&nbsp;Tereza Friessova,&nbsp;Dana Dolanova,&nbsp;Tereza Vrbova,&nbsp;Petra Burilova,&nbsp;Natalia Beharkova,&nbsp;Andrea Pokorna","doi":"10.1111/jep.70256","DOIUrl":"https://doi.org/10.1111/jep.70256","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Plain language recommendations (PLRs) offer clear and understandable statements based on trustworthy guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We aimed to synthesise methodological evidence for developing PLRs in the health care context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We followed the JBI methodology for scoping review development and the PRISMA-ScR guidelines for scoping review reporting. PLRs in the context of health care guidelines or patient versions of guidelines were included. A systematic search was run in MEDLINE (Ovid), Embase (Ovid), and the repositories of guideline developers until November 2023. Due to the research´s longitudinal nature, the search was updated in May 2025 to verify findings gathered so far. Reviewers extracted data independently and synthesised evidence narratively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 2512 citations and 66 repositories of guideline developers were screened. Nine articles from databases and eight documents representing seven sources of evidence from guideline developers' repositories were included in the final synthesis. Information about PLRs, their development, and methodology were summarised. Various infographics are used when creating PLRs. The target groups of PLRs are, e.g. patients, policymakers, the public, and healthcare providers. The patients could be involved in creating PLRs. The developers can draw from the GIN Public Toolkit, RIGHT-PVG checklist or DISCERN. Although these methodologies generally cover the development of knowledge translation tools and patients' version of guidelines (PVGs). Numerous tools can be used to translate scientific language and to formulate PLRs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We propose policy support for the conduct and implementation of PLRs for healthcare guidelines drawn from available evidence-based resources identified by our review. It is desirable to report approaches for communicating recommendations from healthcare guidelines and verify the actionability and understandability of these formats.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70256","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prolonging Medical Procedures to Exploit the Peak-End Rule: An Ethical Analysis","authors":"Richard C. Armitage","doi":"10.1111/jep.70264","DOIUrl":"https://doi.org/10.1111/jep.70264","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Peak-End Rule (PER) impacts how individuals remember events: experiences are primarily remembered according to the emotions associated with the experience's most intense moment (the peak) and those associated with its end (the end). The potential utility of exploiting the PER for improving patients' willingness to repeat unpleasant but medically useful procedures in the future has been demonstrated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This paper conducts an analysis of the ethical issues surrounding the prolongation of medical procedures to exploit the PER.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings and Discussion</h3>\u0000 \u0000 <p>Prolonging medical procedures to exploit the PER appears to satisfy the bioethical principles of beneficence and justice. It is unclear whether, by fully informing patients that the PER is being exploited by prolonging their painful medical procedures, the effect of the PER will persist. While it is unreasonable to expect doctors to provide patients with a full explanation of every medical decision involved in their care, the degree of transparency should reflect the significance that patients are likely to attach to those decisions. It is likely that patients will consider the decision to expose them to prolonged pain without immediate clinical benefits a significant decision. Accordingly, by failing to fully inform patients that the PER is being exploited (for fear of diminishing or eradicating its effect), patients are unable to make fully informed decisions, meaning doctors fail to respect patient autonomy while also acting in an unethically paternalistic manner. Furthermore, exploiting the PER in this manner might also violate the principle of non-maleficence, while appeals to the doctrine of double effect to justify this decision would likely be unsuccessful. A further analysis of the ethical issues surrounding the other ways in which the PER can be exploited in clinical practice, such as by reducing the intensity of pain at the peak of the experience with analgesia, is needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70264","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Generic Model and Conceptual Framework to Prime Curiosity Across Health and Social Care Disciplines to Facilitate Lifelong Learning","authors":"Peter Jones","doi":"10.1111/jep.70252","DOIUrl":"https://doi.org/10.1111/jep.70252","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>The Corona virus pandemic highlighted the importance in continuity of the physical and emotional labour across all care sectors. Synergy between healthcare in hospitals, and community services must be allied with social care; and be central to integrated and efficient policy and service delivery. Services were found wanting in the pandemic and in recurring winter crises. The politics of funding for care delivered in rest and nursing homes remains contested, awaiting long-promised governmental action. The workforce is recognised as dedicated, skilled, compassionate and yet under-valued and under-paid; managers face ongoing recruitment challenges, with a national shortage of staff, and high turnover of personnel. A National Care Service is awaited in England and Wales.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This study explores the ongoing care crisis, using the educational lens of threshold concepts, projected, analysed and synthesised of a generic conceptual framework, known as Hodges' model. Readers will understand Hodges' model and threshold concepts being equipped to explain both.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study is descriptive and uses a conceptual mapping approach supported by discussion and literature. Additional resources and avenues for ongoing study are also provided.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In conclusion, Hodges' model is a pragmatic, practice-based tool, that can support and sustain curiosity for workforce learning and development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144888373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opinions and Experiences of Nurse Managers About Patient Safety: An In-Depth Qualitative Study","authors":"Ayşegül Yilmaz,&nbsp;Hilal Akman Dömbekci,&nbsp;Şerife Güzel","doi":"10.1111/jep.70251","DOIUrl":"https://doi.org/10.1111/jep.70251","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurse managers are the first healthcare professionals to observe safety-related incidents. In addition to their observational role, they are responsible for directing and implementing patient safety policies and procedures. Therefore, an in-depth exploration of their perspectives and lived experiences is necessary.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate the opinions and experiences of nurse managers regarding patient safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An explorative qualitative design was employed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted between June 2022 and January 2023 at a university hospital in Turkey. A total of 14 nurse managers participated in semi-structured interviews. Data were analysed using thematic analysis. The study adhered to the COREQ checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The opinions and experiences of nurse managers regarding patient safety were gathered under total of 21 codes and six sub-themes were identified and organised under four main themes: Perceptions of Patient Safety, Factors Influencing Patient Safety, Strategies to Enhance Patient Safety, and Patient Safety Incidents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings indicate that nurse managers encounter several challenges in ensuring and sustaining patient safety. Their insights reveal contributing factors to negative patient safety events and propose actionable precautions. Participants emphasised that managerial appointments often overlook merit, despite the necessity for experienced, well-trained, and competent nurse leaders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Policy</h3>\u0000 \u0000 <p>This study highlights the need to empower nurse managers and ensure their professional autonomy in the context of patient safety. It also reveals the importance of appointing qualified, experienced nurse leaders to improve safety outcomes. These findings may inform institutional strategies and policy reforms aimed at delivering high-quality, safe, and cost-effective care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Risky Pregnant Women Achieve Positive Antenatal Experience: A Cross-Sectional Study of Examination of the Sense of Coherence, Prenatal Distress, and Pregnancy Acceptance","authors":"Ayse Deliktas Demirci,&nbsp;Mine Oruc,&nbsp;Merve Kochan Aksoy,&nbsp;Kamile Kabukcuoglu","doi":"10.1111/jep.70255","DOIUrl":"https://doi.org/10.1111/jep.70255","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Antenatal care incorporating a health-promoting approach should focus on positive pregnancy experiences. This approach can bring pregnant women closer to the health dimension.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>To examine the effects and explanatory power of sense of coherence and prenatal distress on pregnancy acceptance among high-risk pregnancies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive cross-sectional survey was conducted between April and October 2023. The sample included 219 high-risk pregnant women who had high-risk pregnancies and were admitted to prenatal clinics at a state hospital. <i>t</i>-tests, ANOVA, Pearson's correlation coefficients, and hierarchical linear multiple regression were performed using IBM SPSS software version 23.0.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This study indicated that high-risk pregnant women exhibited moderate levels of sense of coherence (54.43 ± 7.49), high acceptance of pregnancy (24.53 ± 5.83), and low levels of prenatal distress (11.63 ± 4.96). The research findings showed that acceptance of pregnancy was influenced by the wanted pregnancy status (<i>β</i> = 0.231, <i>p</i> = 0.002), prenatal distress (<i>β</i> = 0.275, <i>p </i>= 0.000), and sense of coherence levels of women (<i>β</i> = −0.206, <i>p </i>= 0.001). The explanatory power of the model was 34% (<i>F</i> = 5.250, <i>p</i> = 0.000).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The research revealed a strong link between the acceptance of pregnancy and factors such as the desired status of the pregnancy, prenatal stress, and a sense of coherence. These findings highlight key psychosocial predictors of pregnancy acceptance in high-risk pregnancies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70255","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Using Soundproof Nebulizers With Music and a Funny Mask Added to Reduce Children's Anxiety in Medical Procedures: A Randomized Controlled Experimental Study","authors":"Eda Sorkun,&nbsp;Ayfer Açıkgöz,&nbsp;Sarper Şahin","doi":"10.1111/jep.70244","DOIUrl":"https://doi.org/10.1111/jep.70244","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Medical procedures are a common source of anxiety, and nebulized therapy may increase children's anxiety levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to determine whether using a soundproof nebulizer with music and a funny mask reduces anxiety during nebulized therapy in children aged 3–6 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized controlled interventional study included three groups: Experimental Group 1, where a soundproof nebulizer with music and a funny mask was used; Experimental Group 2, where a silent nebulizer without additional features was used; and a Control Group, where a standard nebulizer routinely employed in the clinic was applied. Data were collected using a Descriptive Information Form, the Children's Fear Scale (CFS) and the Children's Emotional Manifestation Scale (CEMS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the procedure, the Control Group had higher CFS scores than both Experimental Groups 1 and 2 (<i>p</i> &lt; 0.001). Experimental Group 2 showed higher CFS scores than Experimental Group 1 (<i>p</i> &lt; 0.001). Similarly, CEMS scores were higher in the Control Group compared to both experimental groups (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings indicate that using a soundproof nebulizer combined with music and a funny mask is the most effective method to reduce children's fear during inhalation therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>NCT05881941.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Affecting Family Physicians' Use of Clinical Practice Guidelines","authors":"Ismail Cifci,&nbsp;Esra Meltem Koc","doi":"10.1111/jep.70228","DOIUrl":"https://doi.org/10.1111/jep.70228","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clinical practice guidelines (CPGs) are widely used globally, yet their utilisation by family physicians varies between countries. Despite the known benefits of CPGs, limited data exist regarding their use among family physicians in Turkey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to determine the CPG usage status and influencing factors of family physicians in primary care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A questionnaire with Likert-scale response options was administered to 384 family physicians working in Family Health Centres affiliated with the Ministry of Health. The survey gathered demographic data and assessed physicians' awareness, knowledge, and behaviours regarding CPGs use. Chi-square tests and descriptive statistics were used in the analysis, with a significance level set at <i>p</i> &lt; 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Of the 384 physicians, 196 (51%) were male, with a mean age of 44.5 years (SD: 9.7), and 257 (66.9%) were general practitioners. A total of 297 physicians (77.3%) had previously used CPGs, with usage significantly higher among resident physicians (96.5%; <i>p</i> &lt; 0.001). The most used guidelines were for hypertension (88.2%), diabetes (87.2%), and thyroid diseases (54.2%). Regarding opinions on CPGs, 77.1% of participants agreed that guidelines improve treatment effectiveness and reduce healthcare costs, while 73.9% indicated they would use guidelines more often if they had sufficient time. However, 69.7% disagreed with that guidelines limit their autonomy as physicians. The main barriers to guidelines used included time constraints and the overwhelming number of guidelines available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Family physicians widely use CPGs, yet workload and accessibility remain significant barriers. Policies to improve access and streamline guideline use in practice are warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}